Redmill Week 1

Question 1

What is the definition of Long Term Care?

Answer 1

Long term care is care needed by an individual, with the likelihood that the need will persist over a sustained period of time

Question 2

Why should vulnerability for a Long Term Care customer be considered?

Answer 2

All customers could be deemed vulnerable

Question 3

What Types of Care are Soley State Funded?

Answer 3

Respite Care,
Hospital Care,
Intermediate Care

Think of the acronym ‘RHI’

Question 4

Who is more likely to have a longer life expectancy? One receiving care in their own home or one receiving care in a nursing setting?

Answer 4

The one receiving care in their own home

Question 5

What is meant by Intermediate care?

Answer 5

Intermediate care is a short period of intensive care, usually in the recipients own home.

Question 6

What is meant by ‘respite care’?

Answer 6

It is given to carers such as relative or neighbours giving them a short-term break if poorly or simply cannot cope.

Question 7

What is the cost of respite care?

Answer 7

It is given free of charge, or based on a ‘means tested basis’

Question 8

Who is the independent regulator of health and adult social care?

Answer 8

Care Quality Commission (CQC)

Question 9

What is NHS Continuing Healthcare

Answer 9

NHS Continuing Health Care is a package of care arranged and funded by the NHS for individuals outside hospital with ongoing healthcare needs

Question 10

If Criteria for NHS Continuing Healthcare is met, is there a financial means test?

Answer 10

There are no tests of financial situation if accepted for NHS Continuing Healthcare

Question 11

If NHS Continuing Healthcare is received in a care home, what costs are covered?

Answer 11

The full cost of care is covered, including nursing and hotel costs

Question 12

What criteria needs to be met to qualify for NHS Funded Nursing Care?

Answer 12

• Must be a resident in a care home registered to provide nursing.
• Does not qualify for NHSCHC but has been assessed as by requiring services of a registered nurse

Question 13

How does the Single Assessment framework that was introduced in 2007 work?

Answer 13

It acts as a ‘single assessment’ so once an assessment for NHSCHC has been completed, if the individual does not qualify, the same information can be passed to the local authority so that they do not have to reassess.

Question 14

How many priority and/or severe needs need to be present for a ‘primary health need’ said to exist?

Answer 14

A priority health need is said to exist where there is:

• At least 1 priority need or 2 severe needs.

Question 15

In an ‘initial assessment of health’ who would complete a ‘Decision Support Tool’ (DST)?

Answer 15

The Multi-Disciplinary (MD) team completes the DST.

Question 16

A ‘fast track pathway’ is used in which scenario?

Answer 16

A ‘fast track pathway’ is used where an individual has a terminal illness

Question 17

When can care be started?

Answer 17

Care can commence whilst a decision is being made, but then can later be overturned and stopped.

Question 18

How often must a Care and Support Plan be reviewed?

Answer 18

A Care and Support Plan must be reviewed at the three month point and then at least annually.

Question 19

What is the main point set out under the Mental Health Act 1983 in Section 114?

Answer 19

Section 114 of the Mental Health Act 1983 covers those who have previously been sectioned, this care should be provided free of charge, known as ‘Section 114 Aftercare’

Question 20

How quickly should a needs assessment by the Local Authority Social Service Department be carried out?

Answer 20

The needs assessment must be carried out ‘within a reasonable timeframe’.

Question 21

Who is able to request a needs assessment under the Care Act 2014?

Answer 21

Anyone can request and benefit from a needs assessment.

Question 22

Under a Local Authorities financial assessment, is only the individuals’ finances taken into account or is their finances and their partners taken into account?

Answer 22

For a Local Authority financial assessment, only the individuals own wealth is considered and assessed.

Question 23

What is the Lower and Upper Limit of the Capital Threshold and what happens once you exceed the upper limit?

Answer 23

Lower Limit - £14,250
Upper Limit - £23,250

Once capital exceeds the upper limit, a care recipient will be expected to pay for all of the care themselves.

Question 24

Explain how tariff income between the Lower Limit and Upper Limit works?

Answer 24

An induvial will be expected to contribute
£1 per week to care for each £250 or part thereof above the Lower Limit and between the Upper Limit.

Question 25

When might a light touch financial assessment take place?

Answer 25

Where the local authority is satisfied with the evidence that the individual does not have the financial resources in excess of the thresholds.

Question 26

What allowance is given that can be deducted for a cost of sale?

Answer 26

10% of the value of the asset can be deducted to cover sale costs.

Question 27

If a debt is attached to an asset, can this be deducted from the value?

Answer 27

Yes, if a debt is attached to an asset, it can be deducted from the value.

Question 28

Which three types of capital is included in a financial needs assessment?

Answer 28

Cash, Stocks and Shares, Second Properties

Think of the acronym CSSP (Cash, Stocks, Second Properties).

Question 29

Is it possible and if so how for income to be considered in a financial means test even if asset values are below the Lower Limt of £14,250?

Answer 29

Yes, it is possible for income to be considered in a means test even if assets are below the Lower Limit for capital. This is as income which is not fully or partly disregarded is included in assessments.

Question 30

How may pension income be partially disregarded?

Answer 30

50% of pension income may be partially disregarded if received by a married person in a care home and it is paid to their spouse as long as the spouse is not in the same care home.

Question 31

What is the Personal Expense Allowance?

Answer 31

The personal expense allowance is a small amount retained by care receivers for ‘little things’ such as Newpapers, toiletries or hairdressing.

Question 32

When might one’s property not be included in a means test?

Answer 32

• If the individual is in temporary care
• If in permanent care but property occupied by their partners/former partner, be a lone parent or be a relative either over 60, under 18 or incapacitated.

Question 33

How does the 12 week disregard work?

Answer 33

The 12-week disregard works in the way that the value of an individual’s property is disregarded for the first 12 weeks after local authority begin funding care. If the property is sold within 12 weeks, then the disregard ends and the cash arising from the sale is immediately assessed.

Question 34

What is a Deferred Payment Arrangement?

Answer 34

A deferred payment arrangement allows the local authority to loan the money that would have been raised from the house to the care recipient and then recovers it post-death.

Question 35

Who must be offered a deferred payment arrangement? And who is able to request this?

Answer 35

A deferred payment arrangement must be offered to:

• Anyone who has assessed needs that will be met by moving into a care home.
• Anyone who has less than or equal to the Upper Limit
• Anyone whose home is not otherwise disregarded.

But anyone can request a deferred payment arrangement.

Question 36

What is the definition of Deliberate Asset Deprivation

Answer 36

Where one enters an agreement with the intention of removing the asset from assessment for care fees.

Question 37

How long does a local authority have to seek to recover assets that constitute deliberate deprivation?

Answer 37

They have up to 6 years

Question 38

Which element of PIP in classed as fully disregarded income

Answer 38

The mobility component of PIP

Question 38

What is the usual maximum period for intermediate care?

Answer 38

6 weeks

Question 39

In regard to pension, what is taken into account and what isn’t taken into account?

Answer 39

Any income or TFC taken from the pension is taken into account, but the value of the remaining pension fund is not taken into account.

Question 40

What 4 things are a primary health need assessed by?

Answer 40

• Nature
• Complexity
• Intensity
• Unpredictability

Question 41

What must happen before one leaves a hospital setting?

Answer 41

They must be formally discharged by a named doctor, and care arranged

Question 42

Which country does the Care Act 2014 primarily focus on?

Answer 42

England

Question 43

What is the main aim of the Care Act 2014

Answer 43

To simplify carious legislation, case law and practice

Question 44

Which country has both of the following:

• Single Shared Assessment (SSA)
• The Care Inspectorate

Answer 44

Scotland

Question 45

How are jointly owned assets, other than property classed as being owned?

Answer 45

Classed as being owned 50/50

Question 46

What is the role of the Clinical Commissioning Group?

Answer 46

To arrange and fund NHS services in the area that they cover

Question 47

What is a personal health budget?

Answer 47

An amount of money agreed between a person and NHS which the NHS would have spent on care. The individual can then use this money to source their own care

Question 48

Who has the right to a Personal Health Budget?

Answer 48

Anyone receiving NHSCHC